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NPI 1831457357

NPI 1831457357 : AMY CAROLYN SCHULTZ PEARSON MD : CUDAHY, WI

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General NPI Number Information
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    NPI Number           |    1831457357
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    Entity Type          |    Individual 
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    Provider Name        |    AMY CAROLYN SCHULTZ PEARSON MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2012
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    5900 S LAKE DR 
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    City                 |    CUDAHY
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    State                |    WI
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    Zip                  |    53110-3171
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    Country              |    US
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    Telephone            |    414-489-9000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 735044 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-5044
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    Country              |    US
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    Telephone            |    800-326-2250
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    MD44287
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    76497-20
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    76497
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    144664
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    57038
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    License Number State |    MN
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Taxonomy #6
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    MD44287
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    License Number State |    IA
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Taxonomy #7
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    107027
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    License Number State |    MN
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